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Provider Workflows

Less administration. More medicine.

AXIFI automates the administrative layer around every clinical encounter — prior auth, referral routing, follow-up scheduling, and inbox triage — so your providers can focus on the work only they can do.

The problem

Administration has consumed clinical time.

The average US physician now spends 28 hours per week on non-clinical tasks — more than two full days of lost productive time per week per provider. Prior authorization alone accounts for 16 physician hours and 36 staff hours per physician per week (AMA 2023). These are not scheduling problems. They are systems problems.

  • Prior authorization requests increased 18% year-over-year from 2021 to 2023 (CAQH)
  • Average prior auth turnaround: 3.1 business days — delaying care for 1 in 4 patients (AMA)
  • Referral leakage costs US health systems $800M+ annually in lost downstream revenue
  • Inbox messages have grown 57% per physician since 2020 (Epic, 2023)
Our approach

AI handles the paperwork. Providers handle the patients.

  1. Prior auth automation

    AXIFI reads the clinical order, determines payer requirements, assembles supporting documentation from the chart, and submits via real-time payer API. Human review only when the payer requests peer-to-peer.

  2. Referral routing and tracking

    When a referral is ordered, AXIFI selects the appropriate specialist based on payer, patient preference, quality data, and wait times. It schedules directly where integration allows and tracks completion.

  3. Inbox triage and response drafting

    AXIFI triages your providers' in-basket messages by urgency and type. Routine result notifications, refill requests, and non-urgent patient messages receive AI-drafted responses for provider one-click approval.

  4. Follow-up coordination

    AXIFI monitors patients who were referred or discharged and have not completed follow-up. It triggers outreach, closes the loop in the chart, and escalates to a care coordinator when the patient does not respond.

Measured outcomes

Hours returned. Delays eliminated.

74 %

Prior auth auto-approval rate

no human touchpoint required

11.4

Hours per physician per week saved

administrative time recovered

1.8

Day average prior auth turnaround

down from 3.1-day industry average

Weekly administrative hours per physician

Before
28 hrs

Before AXIFI

After AXIFI
16.6 hrs

After AXIFI

What's inside

What is inside Provider Workflows.

Prior auth engine

Payer-aware automation for the 300+ most common prior auth codes. Uses structured chart data and natural language documentation to build complete payer submissions.

Referral intelligence

Specialist selection based on in-network status, patient panel availability, quality metrics, and wait times. Tracks referral completion and escalates non-responders.

Smart inbox triage

Classifies every in-basket message by type and urgency. Drafts provider responses for routine messages. Routes urgent items immediately.

Follow-up coordinator

Monitors open care loops — discharged patients, pending referrals, overdue labs — and automates outreach until the loop is closed or escalated.

Works with your stack

Integrates with the systems already running your practice.

EHR
  • Epic
  • Cerner / Oracle Health
  • Meditech
  • eClinicalWorks
  • NextGen
Payer APIs
  • CAQH CORE Phase III
  • CMS Prior Auth API (FHIR)
  • United, Anthem, Cigna, Aetna
  • Blues plans (AX API)
Scheduling
  • Epic Cadence
  • Salesforce Health Cloud
  • Klara
  • NexHealth
RCM
  • Epic Resolute
  • Oracle Health Rev Cycle
  • Waystar
  • Change Healthcare
FAQ

Common questions.

Medical directors, practice managers, and health system COOs

Ready to deploy Provider Workflows in your environment?

See how Synaptis fits into your stack — no generic demos, just your workflow.